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Record W4410488571 · doi:10.1177/27536386251338525

The future of paramedic education: Problematizing the <i>translucent</i> curriculum in paramedicine

2025· article· en· W4410488571 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueParamedicine · 2025
Typearticle
Languageen
FieldHealth Professions
TopicGlobal Health Workforce Issues
Canadian institutionsNorthern Lakes CollegeUniversity of the Fraser Valley
Fundersnot available
KeywordsCurriculumPedagogyMedicineSociologyMedical education

Abstract

fetched live from OpenAlex

This article questions the extent to which paramedic education is adequate for a changing prehospital and ambulance world and to more advanced forms of professionalism. Paramedic training and education has increasingly moved out of in-service provision. In most Anglophone societies that feature similar models of prehospital medicine, the route to the qualification of new paramedics is through university degree programmes or college certification. This is an important route for professionalizing the paramedic occupation and has served to broaden the scope of practice and to boost the status of the paramedic. There remains much to do, however, in terms of modernizing and strengthening the provision of paramedic education. Drawing on the classic sociological notion of the hidden curriculum, this article argues that reform of paramedic education is an essential element in better preparing the paramedic profession for the future. Paramedic education needs to pivot away from its overwhelming emphasis on biomedical positivism and what we call the tyranny of the bio-psycho-medico in order to develop a more sociologically-informed curriculum that better prepares students for the realities of what they meet on the streets – a reality that better aligns with community paramedicine – in a changing society, and to provide scope for a more Socratic introspection of the nature, culture, structure, and ethics of the paramedic role itself.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.003
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.715
Threshold uncertainty score0.707

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.002
Science and technology studies0.0010.001
Scholarly communication0.0000.000
Open science0.0010.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.012
GPT teacher head0.421
Teacher spread0.409 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it